Recursive Self-Improvement of Exoskeleton Assistance Policies through Human-in-the-Loop Feedback

A significant challenge in exoskeleton robotics is the need to dynamically adapt control profiles to individual motion preferences, thereby ensuring both efficient and comfortable assistance. Currently, since user experience can serve as a comprehensive metric for evaluating the effectiveness of assistance, user preference-based optimization methods have been widely studied for parameter tuning. However, the existing methods rely heavily on extensive human-robot online interactions and suffer from slow optimization speed, which not only induces user fatigue but also compromises optimization effectiveness. Therefore, this paper aims to explore an efficient preference-based optimization framework for personalized exoskeleton assistance that can learn optimal parameters with minimal interaction. We propose a preference-based Bayesian optimization (PbBO) approach that can improve sample efficiency by leveraging knowledge about the sampling distribution of candidate sets. For optimizing six control parameters, PbBO can converge to user-preferred parameters with 90.7% validation accuracy via 20 iterations. Moreover, the hierarchical controller is designed to generate personalized torque for different tasks and achieve interaction torque tracking in real time. The results of treadmill and outdoor experiments demonstrate that the optimized parameters can reduce metabolic rate by 14.5%-15.4%, heart rate by 6.3%-7.6%, and muscle activation by 6.7%-31.5% compared to unassisted walking.

Designing generalizable control policies for lower-limb exoskeletons remains fundamentally constrained by exhaustive data collection or iterative optimization procedures, which limit accessibility to clinical populations. To address this challenge, we introduce a device-agnostic framework that combines physiologically plausible musculoskeletal simulation with reinforcement learning to enable scalable personalized exoskeleton assistance for both able-bodied and clinical populations. Our control policies not only generate physiologically plausible locomotion dynamics but also capture clinically observed compensatory strategies under targeted muscular deficits, providing a unified computational model of both healthy and pathological gait. Without task-specific tuning, the resulting exoskeleton control policies produce assistive torque profiles at the hip and ankle that align with state-of-the-art profiles validated in human experiments, while consistently reducing metabolic cost across walking speeds. For simulated impaired-gait models, the learned control policies yield asymmetric, deficit-specific exoskeleton assistance that improves both energetic efficiency and bilateral kinematic symmetry without explicit prescription of the target gait pattern. These results demonstrate that physiologically plausible musculoskeletal simulation via reinforcement learning can serve as a scalable foundation for personalized exoskeleton control across both able-bodied and clinical populations, eliminating the need for extensive physical trials.

Effective exoskeleton assistance requires co-adaptation: as the device alters joint dynamics, the user reorganizes neuromuscular coordination, creating a non-stationary learning problem. Most learning-based approaches do not explicitly account for the sequential nature of human motor adaptation, leading to training instability and poorly timed assistance. We propose Staged Multi-Agent Training (SMAT), a four-stage curriculum inspired by how users acclimate to a wearable device. In SMAT, a musculoskeletal human actor and a bilateral hip exoskeleton actor are trained progressively: the human first learns unassisted gait, then adapts to the added device mass; the exoskeleton subsequently learns a positive assistance pattern against a stabilized human policy, and finally both agents co-adapt with full torque capacity and bidirectional feedback. We implement SMAT in the MyoAssist simulation environment using a 26-muscle lower-limb model and an attached hip exoskeleton. Our musculoskeletal simulations demonstrate that the learned exoskeleton control policy produces an average 10.1% reduction in simulated hip muscle activation relative to the no-assist condition. We validated the learned controller in an offline setting using open-source gait data, then deployed it to a physical hip exoskeleton for treadmill experiments with five subjects. The resulting policy delivers consistent assistance and predominantly positive mechanical power without the need for any explicitly imposed timing shift (mean positive power: 13.6 W at 6 Nm RMS torque to 23.8 W at 9.3 Nm RMS torque, with minimal negative power) consistently across all subjects without subject-specific retraining.